The pregnant traveller.

Travelling during pregnancy has become increasingly common. Many pregnant women travel for pleasureand recreation and a lot of them continue to work and therefore often travel on business, sometimes to areas with poor standards of sanitation and limited access to health care providers. During pregnancy, it is extremely important that a woman has a regular access to maternal health care, also in temporary destinations, especially in areas characterised by harsh environmental conditions, and places where the prevalence of infectious diseases is high. It must be remembered that the course of contagious or parasitic illnesses, such as hepatitis E and malaria, is generally more severe in pregnant travellers, due to pregnancy-related immunosuppression. The assessment of indications and contraindications for the use of mandatory/recommended vaccinations and antimalarial drugs is also very important in pregnant travellers. When pregnant women travel for long term, it is absolutely necessary that they receive prenatal care in a new place of residence. Scheduled maternity care usually begins in week 10-12 of pregnancy, and continues once a month until the 7 month of pregnancy, next every second week until week 36 and then once a week until the delivery.